Dr. Candido Otero, M.D.

General anesthesia is administered to make it easier for the patient to stay still during the procedure. Thank you.

General anesthesia is administered to make it easier for the patient to stay still during the procedure. Thank you

Options include Statins, they block the enzyme that makes the liver to produce cholesterol. They are atorvastatin (Lipitor), lovastatin (Altoprev), Fluvastatin (Lescol XL), pravastatin (Crestol, simvastatin (Zocor) as well as others. This is the first line of treatment for hypercholesterolemia, HMG-CoA reductase inhibitors = statins. Other type of treatment is exercise, keeping the weight, eating food in low saturated fat, avoiding tobacco, and controlling high blood pressure and blood sugar. Also check with an Endocrinologist for your thyroid. Thank you.

You will receive a local anesthetic at the biopsy site. Sometimes, general anesthesia depending on the type of lesion. Thank you.

Acupuncture may have an effect on increasing hemoglobin levels as well as increasing MCV, MCH and RDW levels in anemic subjects. However, I would recommend a complete blood work before using or relying in one source. Consult your Healthcare provider. Thank you.

You will receive a local anesthetic at the biopsy site. Sometimes, general anesthesia depending on the type of lesion. Thank you.

Bleeding from anywhere is a serious issue. Bleeding causes anemia and other problems that needs to be addressed sooner than later. Bleeding from the gastrointestinal tract (stomach, small intestine, large intestine) is serious . Maybe she has a gastric ulcer based on your history. This needs to be addressed as soon as yesterday before anything else happened . Please, tell your friend to call 911 to be assessed in the ER. Thank you.

High platelets could be a sign of a serious medical problem such as infection, inflammatory disease, trauma, and possibly cancer. The reason that they want you back is to rule out less compromising problem because by them your inflammatory response would be normalized or there is a need to do additional testing to rule out malignancies. Thank you.

Glomerular Filtration Rate (GFR) greater than 60 or higher is the normal range. GRR lower than 60 may mean kidney disease. GFR 15 or lower may mean kidney failure. There are urine tests, Dipstick urine test, Urine albumin-to-creatinine ratio (UACR) which compares albumin to creatinine in your urine. Blood tests, Serum creatinine, glomerular filtration rate (GFR), Blood Urea Nitrogen, Blood test, Imaging, and others. Yes, however, is better to go to your healthcare provider who have you complete medical history and therefore his / her assessment would be more complete. They can other additional tests if they are needed. Please, ask the healthcare provider who ordered the laboratory tests for a complete analysis, they will help you.

They will put you to sleep by giving you sedation. You will be put under deep sedation to general anesthesia. Immediately after the procedure they will take you to the recovery room until you are completely awake. Make sure you have someone will drive you back home. Thank you.

The results of a hair follicle drug test can be negative, positive, or inconclusive. A negative result means. That the laboratory did not detect the presence of any drug metabolites in the sample, or after having a positive ELISA screening, the laboratory was unable to confirm the results with GC-MS. A positive hair sample that produces a positive result for ELISA will undergo to a second test, GC-MS. A positive result is a confirmatory testing meaning that the laboratory confirmed the presence of specific drug metabolites in the person’s sample. An inconclusive hair sample is contaminated, or something went wrong with the sample. The laboratory will report it as inconclusive. The metabolites can be in the body for approximately 3-4 months after it have been consumed. Thank you.

Too much anticoagulant medicine, NSAID’s, aspirin, bleeding disorders increases the INR Some antibiotics can increase the PT/INR. Barbiturates, oral contraceptives and hormones replacement therapy, and Vitamin K (either in a multivitavin or liquid nutrition supplements may decrease PT. Alcohol can also affects PT. I do not recommend to auto prescribe any medication. Talk to your healthcare provider and ask your provider before any use. Thank you.

General anesthesia is administered to make it easier for the patient to stay still during the procedure. Thank you.

I recommend for you to go to an Urgent Care to have a complete physical examination of the lesion and they can use Imaging (X-Ray and other type of imaging to make the right diagnosis. Thank you.

No. The most common complication of kidney biopsy is blood loss in the urine and it will stop in few days after the procedure. Reasons that your healthcare provider want to do a kidney biopsy is hematuria (blood in urine), proteinuria (protein in the urine), abnormal blood test and acute or Chronic kidney disease. with no clear cause.The recovery is 24 hours. You can go back to work after 24 hours unless your healthcare provider tells you otherwise. Also, you can return to all your normal activities after two to three days after the procedure. Thank you.

You will receive a local anesthetic at the biopsy site. Sometimes, general anesthesia depending on the type of lesion. Thank you.

The prostate biopsies results can take from several days to 2 – 3 weeks. It all depends on the pathology findings and what additional stains and tests needs to be performed for the final diagnosis. Pain in the area between the anus and the scrotum is common from few days to several weeks. Also, blood in the urine can be found for a few days to few weeks. Fever, pain or burning sensation during urination could be an indication of infection. Consult your healthcare provider. Thank you.

A needle or transbronchial lung biopsy is performed under light sedation and local anesthesia. Any procedure has their risk, however, the risk of lung biopsy is relatively low. You will be awake during the procedure. For open lung biopsy you will get general anesthesia. Thank you.

Make sure that you are eating five to six small meals, healthy meals per day. It is important to eat a mixture of fruits and vegetables as well as protein-rich foods. If you have low creatinine, you may be losing muscle mass because of not in off protein consumption or liver disease. Please, check with your healthcare provider. For better guidance since he/she have your complete medical history so he can do a better assessment of your disease process. Thank you.

ALT stand for alanine transaminase is a liver enzyme as well as AST which strands for aspartate transaminase. High level of alt represents liver damage form hepatitis, infection, cirrhosis, liver cancer as well as other liv er diseases. The normal range is 7 – 55uj/L (units per liter) but varies depending on the laboratory. Increasing fiber intake, reducing saturated fats and processed food, and eating vegetable and fruits would help to reduce and repair the liver function. Obviously, when you stopped the alcohol consumption was a great decision. AST strands for aspartate transaminase. Increase AST has the same connotation as ALT. Elevation means liver injury and disease. And the AST/ALT ratio is an indicator for hepatocellular injury. A typical ast/alt ratio is less than 1. Sometimes minor increments in ast/alt ratio are seen with vigorous exercise and skeletal muscle injury. The four warning signs of liver damage are skin and eyes that appear yellow, abdominal pain and swelling, itchy skin, chronic fatigue, dark urine color. I recommend to you to see a Hepatologist, a doctor specialized on liver diseases. Please go and see him/she and they will help you. Thank you.